Opral valve valve - yotseguka

Kuchita opaleshoni yamagetsi a Mitral kumagwiritsidwa ntchito kukonza kapena kusintha valavu yamitral mumtima mwanu.

Magazi amayenda pakati pazipinda zosiyanasiyana zam'mtima kudzera pamavavu omwe amalumikiza zipindazo. Chimodzi mwa izi ndi valavu ya mitral. Valavu ya mitral imatseguka kuti magazi azitha kuyenda kuchokera kumanzere kupita kumanzere kumanzere. Valavuyo imatseka, kuti magazi asamayende kumbuyo.

Pochita opaleshoni yotereyi, dokotalayo amadula kwambiri m'chifuwa chanu kuti afike pamtima. Mitundu ina ya opaleshoni imagwiritsa ntchito mabala angapo ang'onoang'ono.

Musanachite opareshoni yanu, mudzalandira opaleshoni.Mudzakhala mukugona komanso osamva ululu panthawiyi.

• Dokotala wanu adzadula pakati pa chifuwa chanu masentimita 25.4.
• Kenako, dotolo wanu adzalekanitsa chifuwa chanu kuti awone mtima wanu.
• Anthu ambiri amalumikizidwa ndi makina olowera pamtima kapena mapampu olambalala. Mtima wanu waimitsidwa mukalumikizidwa ndi makina awa. Makinawa amachita ntchito yamtima wanu pomwe mtima wanu wayimitsidwa.
• Kudulidwa pang'ono kumapangidwa kumanzere kwa mtima wanu kuti dokotala wanu azitha kukonza kapena kusintha valavu ya mitral.

Ngati dotolo wanu atha kukonza valavu yanu ya mitral, mutha kukhala ndi:

• Ring annuloplasty - Dokotalayo amakonza gawo ngati mphete mozungulira valavu pomanga mphete yachitsulo, nsalu, kapena minofu mozungulira valavu.
• Kukonza mavavu - Dokotalayo amadula, kupanga, kapena kumanganso chimodzi mwaziphatikizi (timapepala) ta valavu.

Ngati mitral valve yanu yawonongeka kwambiri kuti isakonzedwe, mufunika valavu yatsopano. Izi zimatchedwa kuti opaleshoni m'malo mwake. Dokotala wanu akuchotsani valavu yanu ya mitral ndikusoka yatsopano m'malo mwake. Pali mitundu iwiri yamagetsi yama mitral:

• Mawotchi, opangidwa ndi zinthu zopangidwa ndi anthu (zopangira), monga titaniyamu. Ma valve awa amakhala motalika kwambiri. Muyenera kumwa mankhwala ochepetsa magazi, monga warfarin (Coumadin) kapena aspirin, m'moyo wanu wonse.
• Thupi, lopangidwa ndi mnofu wa munthu kapena nyama. Ma valve awa amakhala zaka 10 mpaka 12. Mwina simusowa kuti muchepetse magazi kwa moyo wanu wonse.

Valavu yatsopano kapena yokonzedwa ikayamba kugwira ntchito, dokotalayo:

• Tsekani mtima wanu ndikuchotsani pamakina am'mapapu amtima.
• Ikani ma catheters (machubu) mozungulira mtima wanu kuti muthe madzi omwe amakula.
• Tsekani chifuwa chanu ndi mawaya achitsulo chosapanga dzimbiri. Zimatenga pafupifupi masabata 6 kuti fupa lipole. Mawaya amakhalabe mkati mwa thupi lanu.

Mutha kukhala ndi pacemaker kwakanthawi yolumikizidwa mumtima mwanu mpaka nyimbo yanu yachilengedwe ibwerere.

Kuchita opaleshoniyi kumatha kutenga maola 3 mpaka 6.

Mungafunike kuchitidwa opaleshoni ngati mitral valve yanu sigwira bwino ntchito.

• Valavu yama mitral yomwe siyimatseka njira yonse imalola kuti magazi abwerere kumanzere kumanzere. Izi zimatchedwa mitral regurgitation.
• Valavu yama mitral yomwe siyitseguka kwathunthu imaletsa magazi. Izi zimatchedwa mitral stenosis.

Mungafunike opaleshoni yamagetsi yotseguka mtima pazifukwa izi:

• Kusintha kwa mitral valve yanu kumayambitsa matenda akulu amtima, monga angina (kupweteka pachifuwa), kupuma pang'ono, kufooka (syncope), kapena mtima kulephera.
• Mayeso akuwonetsa kuti kusintha kwa mitral valve yanu kumachepetsa mtima wanu kugwira ntchito.
• Mukuchita opaleshoni yotseguka pa chifukwa china, ndipo dokotala angafunikire kusintha kapena kukonza valavu yanu yamitral nthawi yomweyo.
• Valavu yanu yamtima yawonongeka ndi endocarditis (matenda a valavu yamtima).
• Mudalandila valavu yatsopano yamtima m'mbuyomu, ndipo siyikuyenda bwino.
• Muli ndi mavuto monga kuundana kwa magazi, matenda, kapena magazi mukalandira valavu yatsopano yamtima.

Zowopsa za opaleshoni iliyonse ndi izi:

• Magazi amatundikira m'miyendo yomwe imatha kupita kumapapu
• Kutaya magazi
• Mavuto opumira
• Matenda, kuphatikiza m'mapapu, impso, chikhodzodzo, chifuwa, kapena mavavu amtima
• Zomwe zimachitika ndi mankhwala

Zowopsa zomwe zingakhalepo chifukwa chochitidwa opaleshoni yotseguka ndi:

• Matenda a mtima kapena sitiroko.
• Mavuto amtundu wamtima.
• Matenda omwe adadulidwa (omwe amapezeka kuti ndi ochepa kwambiri, ali ndi matenda ashuga, kapena adachitidwapo opaleshoniyi).
• Kutaya kukumbukira ndi kutaya kumvetsetsa kwamaganizidwe, kapena "kuganiza moperewera."
• Matenda a Post-pericardiotomy, omwe amaphatikizapo malungo ochepa komanso kupweteka pachifuwa. Izi zitha kukhala mpaka miyezi isanu ndi umodzi.
• Imfa.

Nthawi zonse uzani wothandizira zaumoyo wanu:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala

Mutha kusungira magazi kubanki yosungira magazi kuti muthe kumuika magazi mkati komanso mukamachita opaleshoni. Funsani omwe akukuthandizani ngati inu ndi abale anu mungapereke magazi.

Mungafunike kusiya kumwa mankhwala omwe amalepheretsa magazi anu kuphimba kwamasabata awiri asanachite opareshoni. Izi zingayambitse magazi ochulukirapo panthawi yochita opareshoni.

• Ena mwa mankhwalawa ndi aspirin, ibuprofen (Advil, Motrin), ndi naproxen (Aleve, Naprosyn).
• Ngati mukumwa warfarin (Coumadin) kapena clopidogrel (Plavix), lankhulani ndi omwe amakuthandizani musanayimitse mankhwala anu kapena kusintha momwe mumamwe.

Konzekeretsani nyumba yanu musanapite kuchipatala kuti mukadzabwerako zinthu zidzakuyenderani bwino.

Dzulo lisanachitike opaleshoni yanu, sambani ndikusamba tsitsi. Mungafunike kusambitsa thupi lanu lonse pansi pa khosi lanu ndi sopo wapadera. Tsukani chifuwa chanu kawiri kapena katatu ndi sopo. Muyeneranso kumwa maantibayotiki kuti muteteze ku matenda.

M'masiku asanachitike opaleshoni yanu:

• Funsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Mukasuta, muyenera kusiya. Funsani omwe akukuthandizani kuti akuthandizeni.
• Nthawi zonse dziwitsani omwe akukuthandizani ngati mukudwala chimfine, malungo, malungo, kapena matenda ena onse musanachite opareshoni.

Patsiku la opaleshoniyi:

• Tsatirani malangizo a omwe amakupatsani za nthawi yosiya kudya ndi kumwa.
• Tengani mankhwala omwe mwauzidwa kuti mumwe ndikamwako pang'ono pokha madzi.
• Mudzauzidwa nthawi yobwera kuchipatala.

Anthu ambiri amakhala masiku anayi kapena 7 kuchipatala atachitidwa opaleshoni.

Mudzuka m'chipinda cha anthu odwala mwakayakaya (ICU). Mudzachira kumeneko kwa masiku 1 mpaka 2. Mudzakhala ndi machubu awiri kapena atatu m'chifuwa mwanu kuti muthe madzi mumtima mwanu. Machubu nthawi zambiri amachotsedwa 1 mpaka 3 masiku atachitidwa opaleshoni.

Mutha kukhala ndi chubu chosinthasintha chikhodzodzo kuti muthe kukodza. Muthanso kukhala ndi mizere yolowa (IV) kuti mutenge madzi. Zowunikira zomwe zimawonetsa zizindikilo zofunikira (kugunda, kutentha, ndi kupuma) ziziwonedwa mosamala.

Mudzasunthidwa kupita kuchipatala chanthawi zonse kuchokera ku ICU. Mtima wanu ndi zizindikilo zofunikira zidzayang'aniridwa mpaka mutapita kwanu. Mudzalandira mankhwala opweteka kuti muchepetse ululu mozungulira momwe mumadulira.

Namwino wanu adzakuthandizani kuyamba ntchito pang'onopang'ono. Mutha kupita ku pulogalamu yothandizira kuti thupi lanu likhale lolimba.

Mawotchi amtima wamakina amakhala ndi moyo wonse. Komabe, magazi amatha kuundana. Izi zitha kuwapangitsa kutenga kachilombo kapena kutsekeka. Ngati magazi amaundana, mutha kukhala ndi stroke.

Mavavu opangidwa ndi mnofu wa munthu kapena nyama amalephera pakapita nthawi. Amakhala ndi moyo wazaka 10 mpaka 20 asanafunike kusinthidwa. Amakhala pachiwopsezo chotsika kwambiri chamagazi.

Mitral valve m'malo - yotseguka; Kukonza ma valve a Mitral - kutseguka; Mitral valvuloplasty

• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Opaleshoni ya valve yamtima - kutulutsa
• Kutenga warfarin (Coumadin)

Goldstone AB, Woo YJ. Chithandizo cha opaleshoni cha mitral valve. Mu: Sellke FW, del Nido PJ, Swanson SJ, olemba. Opaleshoni ya Sabiston ndi Spencer pachifuwa. 9th ed. Philadelphia, PA: Elsevier; 2016: chap 80.

Rosengart TK, Anand J. Anapeza matenda amtima: valvular. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: chap 60.

Thomas JD, Bonow RO. Matenda a Mitral valve. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Mu: Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 69.